Mr. Hutchinson or Woman of the Year

Please fill out as much as you can. Each selection is options, but the more information, the better! Feel free to include personal letters, etc. to further explain nominees’ qualifications.

If you’d prefer a PDF form, you can download it here. Please return PDF forms to Adam Fink, Vice Commodore. (1060 Hwy 15 S., Hutchinson, MN 55350)

Applications much be received by March 31, 2016.

I am nominating somebody for:*
- Mr. Hutchinson
- Woman of the Year
Personal Information
Name of Nominee
First Last
Birth Date
MM slash DD slash YYYY
Birth Location
Current Address
Street Address City State ZIP Code
Spouse/Family names
Additional family info
Professional History
Current Occupation or Employer
Number of Years
Previous Occupation or Employer
Number of Years
Professional Accomplishments
Community Involvement
Organization Number of Years Positions Held

Organization	Number of Years	Positions Held

Mr. Hutchinson or Woman of the Year

Applications much be received by March 31, 2016.

Personal Information

Professional History

Community Involvement